{template 'common/header'}
<ul class="nav nav-tabs">
    <li>
        <a href="{php echo $this->createWebUrl('cash', array('op' => 'index'));}">提现列表</a>
    </li>
	<li class="active">
        <a href="#">提现退回</a>
    </li>
</ul>
<div class="main">
	<form action="" method="post" class="form-horizontal form" enctype="multipart/form-data" onsubmit='return formcheck()'>
		<input type="hidden" name="id" value="{$detail['cash_id']}" />
		<div class="panel panel-default">
			<div class="panel-heading">
				提现退回
			</div>
			<div class="panel-body">
			    <div class="form-group">
					<label class="col-xs-12 col-sm-3 col-md-2 control-label">用户ID</label>
					<div class="col-sm-9 col-xs-12">
						<input type="text" class="form-control" value="{$detail['user_id']}" disabled="disabled" />
					</div>
				</div>
				<div class="form-group">
					<label class="col-xs-12 col-sm-3 col-md-2 control-label">提现金额</label>
					<div class="col-sm-9 col-xs-12">
						<input type="text" class="form-control" value="{$detail['num']}" disabled="disabled" />
					</div>
				</div>
				<div class="form-group">
					<label class="col-xs-12 col-sm-3 col-md-2 control-label">退回原因</label>
					<div class="col-sm-9 col-xs-12">
						<input type="text" name="reason" class="form-control" value="{$cash['reason']}" />
					</div>
				</div>
				
			</div>
		</div>
		<div class="form-group col-sm-12">
			<input type="submit" name="submit" value="提交" class="btn btn-primary col-lg-1" />
			<input type="hidden" name="token" value="{$_W['token']}" />
		</div>
	</form>
</div>

{template 'common/footer'}
